Cloverleaf Local Schools

Welcome to Nursing Services

The mission of the Nursing Services Department is to optimize student and staff health while supporting a quality education for every student every day.

Nursing services in the Cloverleaf Local Schools are provided by board-hired Registered Nurses (RN).

The elementary school has a full-time RN for the building. The middle school and high school share a second full-time RN. Please contact the school nurse if your child has a medical condition, needs daily medication or has a chronic health condition, especially if that condition may affect their school day. Students with medical conditions usually attend school more consistently when parents and school nurses work together. No medication (including OTC and herbal) can be given at school without an order from your health care provider.

FORMS: The forms below will help facilitate your child’s medical needs while at school. Just click on the form you need, print the form (or you may request them from the nurse) for the following reasons:

1. Medication form: This form is if your child needs to take a daily dose of a prescription medication or you would like to keep a medication in the clinic for occasional situations (i.e. headaches, cramps, etc.). DO NOT fill this form out for medication due to asthma, food or insect allergies, or seizures (see specific health plan)

2. Asthma Action Plan (2 pages): This form needs to be filled out if your child needs to use or carry an inhaler at school. This form includes the medication prescribed, self-carry permission (if desired), and emergency action plan that the school is to use.

3. Insect Allergy Action Plan or Food Allergy Action Plan (2 pages each): This forms needs to be filled out if your child needs to use or carry an epinephrine autoinjector or store other allergic reaction medication at school. This form includes the medication prescribed, self-carry permission (if desired), and emergency action plan that the school is to use. Remember: If self-carrying an epinephrine autoinjector, the Ohio Revised Code requires that a second one be stored in the school’s clinic.

4. Seizure Action Plan (2 pages): This form needs to be filled out if your child needs to have medication on hand for the management of a seizure while at school. This form includes the medication prescribed and seizure management plan that the school is to use.

5. Diabetic Emergency Action Plan: This form needs to be filled out if your child is diabetic and needs to be monitored and/or managed for signs and symptoms of diabetes at school. This form includes the medication prescribed, self-carry permission (if desired), and emergency action plan that the school is to use. Please choose and complete the appropriate form:

Diabetic Emergency Plan

PDF format

Word format

Diabetic Emergency Plan -- Insulin Injection

PDF format

Word format

Diabetic Emergency Plan -- Insulin Pump

PDF format

Word format

News from the School Nurses

School and common childhood ailments

Cloverleaf follows the Ohio Department of Health’s Communicable Disease recommendations. Below is a brief list of when a student is able to return to school following common illnesses. Please contact the school nurse or the Medina County Health Department for more information. The Medina County Health Department can be reached at 330-723-9688.

I Need to Stay Home If ... I Am Ready to Return to School When I Am ...

Vaccinations and screenings

Vaccine requirements:

The Ohio Department of Health mandates vaccine requirements for 7th- and 12th-grade students. All 7th-graders must have one dose of the vaccines for Meningitis A and Tdap. All 12th-graders must have two doses of the vaccine for Meningitis A unless the first dose was given on or after the age of 16 (then only one dose is required).

Cloverleaf Local Schools is required by law (O.R.C. 3313.671) to have written proof that a student has met the state's immunization requirements or that the student has an Ohio exemption form (see below) on file within 14 days from the start of the school year.

Hearing and vision screenings:

Vision and Hearing screenings are required by the Ohio Department of Health for the following grades: K, 1st, 3rd, 5th, 7th (vision only), 9th, 11th. Any child shall be exempted (O.R.C. 3313.69) from a hearing test or visual test if the child has been examined by a regularly licensed physician/optometrist within the last 12 months (documentation must be presented to the school) or has a vision screening waiver form on file with the school for the current year. Please see forms below for Vision Screening Waiver.